Session 3 - Outpatient CDI - Is It Just About HCCs and Risk Adjustment Factor Scores?
Tuesday, August 19th at 12:00 PM

Outpatient Clinical Documentation Improvement (CDI) is about more than just HCCs and Risk Adjustment Factor (RAF) scores. While these are important for financial reimbursement, outpatient CDI aims to improve the overall quality and accuracy of clinical documentation. It ensures comprehensive patient health records, supports value-based care, and enhances clinical decision-making. Proper documentation also helps with regulatory compliance, risk mitigation, and capturing a complete picture of a patient's health status, which is crucial for both patient care and financial outcomes. Attendees will gain the knowledge and general skill sets necessary to draft an outline and roadmap for developing and rolling out an effective Outpatient CDI program that drives operational performance in achieving quality documentation and supporting a high performing revenue cycle with optimal net patient revenue and alleviation of self-inflicted costly denials.

Overall Objectives

• Outpatient CDI- What does it encompass
• Goals and Objectives of Outpatient CDI
• Requisite Skill Sets & Core-Competencies-Outpatient CDI Professional
• Determining a starting point- Plan of Attack
• Identifying Record Deficiencies & Opportunities- Roadmap for Success
• Addressing Documentation Insufficiencies- Strategies for Consideration
• Maintaining Relevance- Continual Learning
• Measuring Program Success – Key Performance Indicators with Validity

Speaker

Glenn Krauss is a well-recognized & respected subject matter expert in the revenue cycle with an emphasis & focus upon collaborating & working closely with physicians in promoting, advocating for, educating & achieving sustainable improvement in clinical documentation that accurately reflects & reports the communication of fully informed coordinated patient care. He possesses 25 plus years of progressive practical hands-on experience in clinical coding & documentation improvement, subscribing to the philosophy that quality of medical record documentation strongly correlates with overall quality of care & the overall achievement of a high performing revenue cycle. What sets Glenn apart in the clinical documentation improvement arena is the recognition of clinical documentation effectiveness, accuracy, completeness & contextual consistency as fundamentally integral with all components of the revenue cycle.